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General NPI Number Information
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NPI Number | 1881729374
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Entity Type | Organization
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Legal Business Name | MCCAHILL CHIROPRACTIC INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 16345 S HARLEM AVE SUITE 210
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City | TINLEY PARK
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State | IL
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Zip | 60477-3368
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Country | US
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Telephone | 708-429-5904
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Fax | 708-429-0094
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Provider Business Mailing Address
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Address Line | 16345 HARLEM AVE SUITE 210
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City | TINLEY PARK
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State | IL
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Zip | 60477-2589
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Country | US
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Telephone | 708-429-5904
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Fax | 708-429-0094
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL JOHN MCCAHILL
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Credential | D.C.
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Telephone | 708-429-5904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007077
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License Number State | IL
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